Highly stable, efficient Tm-doped fiber laser—a potential scalpel for low invasive surgery

Michalska, Maria; Brojek, W.; Rybak, Zbigniew; Sznelewski, Piotr; Mamajek, M.; Świderski, Jacek

doi:10.1088/1612-2011/13/11/115101

Cited by 30 publications

(17 citation statements)

References 14 publications

(13 reference statements)

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“…The output radiation was characterized by a very good beam quality (parameter M 2~1 .2), and therefore it could easily be inserted into the treatment probes with a diameter smaller than 50 µm [17]. The details of the laser can be found in [23].…”

Section: Lasersmentioning

confidence: 99%

Comparison of A 1940 nm Thulium-Doped Fiber Laser and A 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in A Pig Model of Spleen Surgery

et al. 2020

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Partial and total splenectomies are associated with a high risk of substantial blood loss. Lasers operating at wavelengths strongly absorbed by water have the potential to improve hemostasis and cut while providing a narrow zone of thermal damage. The aim of this study is to compare a thulium-doped fiber laser (TDFL) emitting a wavelength of 1940 nm and a diode laser (DL) operating at 1470 nm for spleen surgery in a pig model. A partial splenectomy and spleen incisions were made in 12 animals using the two laser devices. The hemostasis was evaluated visually during surgeries. Post-mortem and histopathological evaluations were done on days 0, 7, and 14 following surgery. Neither TDFL nor DL caused bleeding on day 0 or delayed bleeding. On day 14, pale streaks at the site of incision were slightly wider after cutting with DL than with TDFL. Histological analysis revealed a carbonized zone with exudation and a deeper zone of thermal tissue damage on day 0. The width of the thermal changes was 655.26 ± 107.70 μm for TDFL and 1413.37 ± 111.85 μm for DL. On day 7, a proliferation of fibroblasts and splenocytes was visible, as well as a formation of multinucleated giant cells adjacent to the residues of carbonization. The zone of thermal damage was broader for DL (1157.5 ± 262.77 μm) than for TDFL (682.22 ± 116.58 μm). On day 14, cutting sites were filled with connective and granulation tissues with the residues of carbonization. The zone of thermal damage was narrower for TDFL (761.65 ± 34.3 μm) than for DL (1609.82 ± 202.22 μm). Thus, both lasers are efficient in spleen surgery, providing good hemostasis. However, TDFL produces a narrower zone of thermal damage, which suggests its better efficiency for spleen surgery, especially when performing more precise procedures.

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Section: Lasersmentioning

confidence: 99%

Comparison of A 1940 nm Thulium-Doped Fiber Laser and A 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in A Pig Model of Spleen Surgery

et al. 2020

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“…Optical fibers and fiber‐based coherent light sources have become increasingly attractive for a wide range of biomedical applications, such as surgical operations, monitoring and chemical analysis of tissues with minimal disruption of the skin or internal organs of the patient . However, several key issues in the in vivo application of optical fibers remain up to now unsolved.…”

Section: Introductionmentioning

confidence: 99%

“…The fiber was spliced together with a standard graded-index multimode fiber pigtail and an optical probe for in vitro pH measurement was prepared by the immobilization of a fluorescent dye on the fiber tip by a sol-gel method to demonstrate applicability and compatibility of the fiber with common fiber optics. Optical fibers and fiber-based coherent light sources have become increasingly attractive for a wide range of biomedical applications, such as surgical operations, monitoring and chemical analysis of tissues with minimal disruption of the skin or internal organs of the patient [1][2][3]. However, several key issues in the in vivo application of optical fibers remain up to now unsolved.…”

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confidence: 99%

In vivo testing of a bioresorbable phosphate‐based optical fiber

Podrazký

Peterka

Kašík

et al. 2019

Journal of Biophotonics

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Optical fibers have recently attracted a noticeable interest for biomedical applications because they provide a minimally invasive method for in vivo sensing, imaging techniques, deep‐tissue photodynamic therapy or optogenetics. The silica optical fibers are the most commonly used because they offer excellent optical properties, and they are readily available at a reasonable price. The fused silica is a biocompatible material, but it is not bioresorbable so it does not decompose in the body and the fibers must be ex‐planted after in vivo use and their fragments can present a considerable risk to the patient when the fiber breaks. In contrast, optical fibers made of phosphate glasses can bring many benefits because such glasses exhibit good transparency in ultraviolet‐visible and near‐infrared regions, and their solubility in water can be tailored by changing the chemical composition. The bioresorbability and toxicity of phosphate glass–based optical fibers were tested in vivo on male laboratory rats for the first time. The fiber was spliced together with a standard graded‐index multi‐mode fiber pigtail and an optical probe for in vitro pH measurement was prepared by the immobilization of a fluorescent dye on the fiber tip by a sol‐gel method to demonstrate applicability and compatibility of the fiber with common fiber optics.

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“…Fiber-based laser sources comprising continuous-wave (CW) [1][2], nanosecond [3][4][5], picosecond [6][7][8], femtosecond [9][10][11] fiber lasers and amplifiers as well as supercontinuum sources [12][13][14] offer the efficient generation of laser radiation from compact lowmaintenance devices, which have created a wide range of applications in the industry. Especially medical applications like surgery of soft biological tissues have gained a lot of interest recently [15][16][17]. Lasers used in microsurgery operate at wavelengths corresponding to local peaks at ~2.94 μm and 1.94 μm.…”

mentioning

confidence: 99%

A 70 W thulium-doped all-fiber laser operating at 1940 nm

Grzegorczyk

Mamajek

2019

Photon.Lett.PL

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An all-fiber thulium-doped fiber laser operating at a wavelength of 1940 nm is reported. A maximum output continuous-wave power of 70.7 W with a slope efficiency of 59%, determined with respect to the absorbed pump power, was demonstrated. The laser delivered almost a single-mode beam with a beam quality factor of < 1.3.Full Text: PDF ReferencesM. N. Zervas and C. A. Codemard, "High Power Fiber Lasers: A Review", IEEE J. Sel. Top. Quantum Electron. 20, 0904123 (2014). CrossRef D. J. Richardson, J. Nilsson, and W. A. Clarkson. "High power fiber lasers: current status and future perspectives [Invited]", J. Opt. Soc. Am. B 27, B63 (2010). CrossRef J. Swiderski, A. Zajac, and M. Skorczakowski, "Pulsed ytterbium-doped large mode area double-clad fiber amplifier in MOFPA configuration", Opto-Electron. Rev. 15, 98 (2007). CrossRef M. Eckerle et al. "High-average-power actively-modelocked Tm3+ fiber lasers", Proc. SPIE 8237, 823740 (2012). CrossRef J. Swiderski, D. Dorosz, M. Skorczakowski, and W. Pichola, "Ytterbium-doped fiber amplifier with tunable repetition rate and pulse duration", Laser Phys. 20, 1738 (2010). CrossRef P. Grzes and J. Swiderski, "Gain-Switched 2-μm Fiber Laser System Providing Kilowatt Peak-Power Mode-Locked Resembling Pulses and Its Application to Supercontinuum Generation in Fluoride Fibers", IEEE Phot. J. 10, 1 (2018). CrossRef S. Liang et al. "Transmission of wireless signals using space division multiplexing in few mode fibers", Opt. Express 26, 6490 (2018). CrossRef J. Swiderski, M. Michalska, and P. Grzes, "Broadband and top-flat mid-infrared supercontinuum generation with 3.52 W time-averaged power in a ZBLAN fiber directly pumped by a 2-µm mode-locked fiber laser and amplifier", Appl. Phys. B 124, 152 (2018). CrossRef F. Zhao et al. "Electromagnetically induced polarization grating", Sci. Rep. 8, 16369 (2018). CrossRef J. Sotor et al. "Ultrafast thulium-doped fiber laser mode locked with black phosphorus", Opt. Lett. 40, 3885 (2015). CrossRef M. Olivier et al. "Femtosecond fiber Mamyshev oscillator at 1550 nm", Opt. Lett. 44, 851 (2019). CrossRef J. Swiderski and M. Michalska, "Over three-octave spanning supercontinuum generated in a fluoride fiber pumped by Er & Er:Yb-doped and Tm-doped fiber amplifiers", Opt. Laser Technol. 52, 75 (2013). CrossRef C.Yao et al. "High-power mid-infrared supercontinuum laser source using fluorotellurite fiber", Optica 5, 1264 (2018). CrossRef J. Swiderski and M. Maciejewska, "Watt-level, all-fiber supercontinuum source based on telecom-grade fiber components", Appl. Phys. B 109, 177 (2012). CrossRef O. Traxer and E. X. Keller, "Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser", World J. Urol., 1-12 (2019). CrossRef M. Michalska, et al. "Highly stable, efficient Tm-doped fiber laser—a potential scalpel for low invasive surgery", Laser Phys. Lett. 13, 115101 (2016). CrossRef R. L. Blackmon et al. "Thulium fiber laser ablation of kidney stones using a 50-μm-core silica optical fiber", Opt. Eng., 54, 011004 (2015). CrossRef A. Zajac et al. "Fibre lasers – conditioning constructional and technological", Bull. Pol. Ac.: Tech. 58, 491 (2010). CrossRef C. Guo, D. Shen, J. Long, and F. Wang, "High-power and widely tunable Tm-doped fiber laser at 2 \mu m", Chin. Opt. Lett. 10, 091406 (2012). CrossRef F. Liu et al. "Tandem-pumped, tunable thulium-doped fiber laser in 2.1 μm wavelength region", Opt. Express 27, 8283 (2019). CrossRef H. Ahmad, M. Z. Samion, K. Thambiratnam, and M. Yasin, "Widely Tunable Dual-Wavelength Thulium-doped fiber laser Operating in 1.8-2.0 mm Region", Optik 179, 76 (2019). CrossRef N. M. Fried, "Thulium fiber laser lithotripsy: An in vitro analysis of stone fragmentation using a modulated 110‐watt Thulium fiber laser at 1.94 µm", Lasers Surg. Med. 37, 53 (2005). CrossRef N. M. Fried, "High‐power laser vaporization of the canine prostate using a 110 W Thulium fiber laser at 1.91 μm", Lasers Surg. Med. 36, 52 (2005). CrossRef E. Lippert et al. "Polymers Designed for Laser Applications-Fundamentals and Applications", Proc. SPIE 6397, P639704 (2006). CrossRef N. Dalloz et al. "High power Q-switched Tm3+, Ho3+-codoped 2μm fiber laser and application for direct OPO pumping", Proc. SPIE 10897, 108970J (2019). CrossRef N. J. Ramírez-Martinez, M. Nunez-Velazquez, A. A. Umnikov, and J. K. Sahu, "Highly efficient thulium-doped high-power laser fibers fabricated by MCVD", Opt. Express 27, 196 (2019). CrossRef T. Ehrenreich et al. "1-kW, All-Glass Tm:fiber Laser", Proc. SPIE 7580, 758016 (2010). DirectLink L. Shah et al. "Integrated Tm:fiber MOPA with polarized output and narrow linewidth with 100 W average power", Opt. Express 20, 20558 (2012). CrossRef H. Zhen-Yue, Y. Ping, X. Qi-Rong, L. Qiang, and G. Ma-Li, "227-W output all-fiberized Tm-doped fiber laser at 1908 nm", Chin. Phys. B 23, 104206 (2014). CrossRef

show abstract

Highly stable, efficient Tm-doped fiber laser—a potential scalpel for low invasive surgery

Cited by 30 publications

References 14 publications

Comparison of A 1940 nm Thulium-Doped Fiber Laser and A 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in A Pig Model of Spleen Surgery

Comparison of A 1940 nm Thulium-Doped Fiber Laser and A 1470 nm Diode Laser for Cutting Efficacy and Hemostasis in A Pig Model of Spleen Surgery

In vivo testing of a bioresorbable phosphate‐based optical fiber

A 70 W thulium-doped all-fiber laser operating at 1940 nm

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